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Acquired aphasia in childhood

Clinical and CT investigations

Aphasia Research Center at the Boston Veterans Administration Medical Center (Drs. Cranberg, Filley, and Alexander) and the Department of Neurology, Kennedy Memorial Hospital (Dr. Hart); Department of Neurology, Boston University School of Medicine, Boston, MA.

We studied eight children with acquired aphasia. All had left hemisphere lesions. In most, the correlation between the CT lesion site and the resulting aphasic syndrome duplicated an anatomic-clinical correlation described in adults. Rapid recovery of language fluency distinguished the children from reported adults. Late follow-up indicated poor scholastic achievements, reflecting an acquired handicap in new learning. Anatomic-clinical correlates and recovery patterns suggest that brain organization for language is similar but not identical in children and adults.

Address correspondence and reprint requests to Dr. Cranberg, The Neurologic Center at Forest Manor, PO Box 1330, Middleboro, MA 02346.

Supported in part by grant NS06209 from the Public Health Service.

Received May 21, 1986. Accepted for publication in final form October 18, 1986.

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